| Nusmilefamilydentistry,llc | |
|
222 South St Freehold NJ 07728-2619 | |
| (732) 462-0050 | |
| (732) 308-0757 |
| Full Name | Nusmilefamilydentistry,llc |
|---|---|
| Speciality | Dentist |
| Location | 222 South St, Freehold, New Jersey |
| Authorized Official Name and Position | Sumana Muddana (DENTIST) |
| Authorized Official Contact | 7324620050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nusmilefamilydentistry,llc 222 South St Freehold NJ 07728-2619 Ph: (732) 462-0050 | Nusmilefamilydentistry,llc 222 South St Freehold NJ 07728-2619 Ph: (732) 462-0050 |
| NPI Number | 1699012781 |
|---|---|
| Provider Enumeration Date | 01/09/2013 |
| Last Update Date | 01/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699012781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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